HCA, Hospital Corporation of America Clinical Doc DRG Specialist in San Jose, California

Regional Medical Center of San Jose is an acute care hospital witha Level II Trauma Center. The hospital provides a host of technologically-advanced services including Cardiovascular,Neuro, Orthopedic, Bariatric and General Surgery, Interventional Pulmonologyand services for Women. Regional holds Joint Commission advanced certification as a Comprehensive Stroke Center and a /Get with the Guidelines- /Stroke Gold Plus Performance Achievement Award from the American Heart Association/American Stroke Association. It is a certified Chest Pain Center, county-designated STEMI (heart attack) Receiving Center, designated Lung Cancer Screening Center, a member of Extracorporeal Life Support Organization (ECMO) and is certified by The Joint Commission in Sepsis care. **

The Clinical Documentation team are dedicated to excellence at San Jose Regional Medical Center. Interested in joining this team? Apply online now.

Schedule: 1.0 (40 hours per week) Shift: Standard days, no weekends

POSITION SUMMARY; The Clinical Documentation Spec I conducts a comprehensive concurrent review of clinical documentation within the medical record to achieve accurate and detailed documentation. Appropriate provider documentation for clinically indicated conditions or procedures supports appropriate assignment of severity of illness, expected risk of mortality, intensity of service and resource consumption, which in turn accurately portrays the facility’s quality outcomes ratings, reduces compliance risks, and captures appropriate reimbursement.



Minimum: Current RN license required with Critical Care, OR; or RHIA/RHIT/CCS certification required; or MBBS/MD required. CCDS, CDIP required Preferred: ER Experience EXPERIENCE REQUIREMENTS: Minimum: 2-5 years CDI experience in an acute care facility required


Minimum: College Graduate Required Undergrad; Degree in Health Information Management, Medicine or Nursing required Preferred: BS degree preferred.


Job: *Case Management

Title: Clinical Doc DRG Specialist

Location: California-San Jose-Regional Medical Center of San Jose

Requisition ID: 08385-21335